Higher State Anxiety Research Articles

Biased Self-Perception of Social Skills in Anxious Children: The Role of State Anxiety

The role of state and trait anxiety on observer ratings of social skill and negatively biased self-perception of social skill was examined. Participants were aged between 7 and 13 years (M = 9.65; SD = 1.77; N = 102), 47 had a current anxiety diagnosis and 55 were non-anxious controls. Participants were randomly allocated to a high or low anxiety condition and asked to complete social tasks. Task instructions were adjusted across conditions to manipulate participants' state anxiety. Observers rated anxious participants as having poorer social skills than non-anxious controls but there was no evidence that anxious participants exhibited a negative self-perception bias, relative to controls. However, as participants' ratings of state anxiety increased, their perception of their performance became more negatively biased. The results suggest that anxious children may exhibit real impairments in social skill and that high levels of state anxiety can lead to biased judgements of social skills in anxious and non-anxious children.

Effects of anxiety on running with and without an aiming task

State anxiety is known to affect far aiming tasks, but less is known about the effects of state anxiety on running and aiming while running. Therefore, in the current study participants ran on a treadmill at their preferred speed in a low- and high-anxiety condition. In both conditions, running was combined with dart throwing in the last minutes. Results showed that attention shifted away from task execution with elevated levels of anxiety. Furthermore, gait patterns were more conservative and oxygen uptake was higher with anxiety. In addition, performance and efficiency on the dart throwing task also decreased with anxiety. These findings are in line with attentional control theory and provide an indication that state anxiety not only affects aiming tasks but also tasks that rely heavily on the aerobic system. Moreover, findings indicate that when combined, running, aiming, and anxiety all compete for attention leading to suboptimal attentional control and possibly a decrease in performance.

The Association of Health and Employment in Mature Women: A Longitudinal Study

Despite a reduction in income inequalities between men and women, there is still a large gap between income and retirement savings of Australian men and women. This is especially true for women who have health or disability problems. Mature age women are closest to retirement and, therefore, have less chance than younger women to build up enough retirement savings and may need to continue working to fund their older age. Continued workforce participation may be particularly difficult for women who are less healthy. Understanding which health problems lead to a decrease in workforce participation among mature age women is crucial. Therefore, this longitudinal study sought to identify which health problems are associated with employment among midage women over time. Data were analyzed from the midage cohort of the Australian Longitudinal Study on Women's Health (ALSWH), which involved 14,200 midage women (aged 45-50 years in 1996). The women have been surveyed four additional times, in 1998, 2001, 2004, and 2007. Generalized estimating equations (GEE) were used to conduct nested multivariate longitudinal analyses. The percentages of women who were employed in the years 2001, 2004, and 2007 were 77%, 72%, and 68%, respectively. Results were adjusted for sociodemographic variables. Being employed decreased as physical and mental health deteriorated and with self-reported conditions: diabetes, high blood pressure, depression, anxiety, and other psychiatric conditions. Back pain, arthritis, cancer, obesity, and being a current smoker are associated with employment but not when quality of life is added to the model. There were significant associations between health and employment. Understanding these relationships could inform policies and guidelines for preventing declines in employment in mature age women.

Slowing Down after a Mild Traumatic Brain Injury: A Strategy to Improve Cognitive Task Performance?

Long-term persistent attention and memory difficulties following a mild traumatic brain injury (TBI) often go undetected on standard neuropsychological tests, despite complaints by mild TBI individuals. We conducted a visual Repetition Detection working memory task to digits, in which we manipulated task difficulty by increasing cognitive load, to identify subtle deficits long after a mild TBI. Twenty-six undergraduate students with a self-report of one mild TBI, which occurred at least 6 months prior, and 31 non-head-injured controls took part in the study. Participants were not informed until study completion that the study's purpose was to examine cognitive changes following a mild TBI, to reduce the influence of "diagnosis threat" on performance. Neuropsychological tasks did not differentiate the groups, though mild TBI participants reported higher state anxiety levels. On our working memory task, the mild TBI group took significantly longer to accurately detect repeated targets on our task, suggesting that slowed information processing is a long-term consequence of mild TBI. Accuracy was comparable in the low-load condition and, unexpectedly, mild TBI performance surpassed that of controls in the high-load condition. Temporal analysis of target identification suggested a strategy difference between groups: mild TBI participants made a significantly greater number of accurate responses following the target's offset, and significantly fewer erroneous distracter responses prior to target onset, compared with controls. Results suggest that long after a mild TBI, high-functioning young adults invoke a strategy of delaying their identification of targets in order to maintain, and facilitate, accuracy on cognitively demanding tasks.

Maternal pregnancy-specific anxiety is associated with child executive function at 6–9 years age

Because fetal brain development proceeds at an extremely rapid pace, early life experiences have the potential to alter the trajectory of neurodevelopment, which may increase susceptibility for developmental and neuropsychiatric disorders. There is evidence that prenatal maternal stress and anxiety, especially worries specifically related to being pregnant, influence neurodevelopmental outcomes. In the current prospective longitudinal study, we included 89 women for whom serial data were available for pregnancy-specific anxiety, state anxiety, and depression at 15, 19, 25, 31, and 37 weeks gestation. When the offspring from the target pregnancy were between 6 and 9 years of age, their executive function was assessed. High levels of mean maternal pregnancy-specific anxiety over the course of gestation were associated with lower inhibitory control in girls only and lower visuospatial working memory performance in boys and girls. Higher-state anxiety and depression also were associated with lower visuospatial working memory performance. However, neither state anxiety nor depression explained any additional variance after accounting for pregnancy-specific anxiety. The findings contribute to the literature supporting an association between pregnancy-specific anxiety and cognitive development and extend our knowledge about the persistence of this effect until middle childhood.

Low perceived control as a risk factor for episodic memory: the mediational role of anxiety and task interference

Low perceived control is considered a risk factor for poor cognitive functioning, but the mechanisms are unclear. The goal of the present study was to analyze anxiety and task interference as sequential mediators of the association between control beliefs and episodic memory. Cognitive-specific control beliefs were assessed prior to the lab session. State anxiety was assessed in the lab, followed by a word list recall task. The frequency of intrusive thoughts during the memory task was reported by the participants as a measure of task interference after the completion of the cognitive testing. The results for 152 participants from the ages of 22 to 84 years supported the predicted three-path mediation model. Lower levels of control beliefs were associated with higher state anxiety, which in turn affected episodic memory performance by increasing the likelihood of task interference, with age, sex, and verbal abilities as covariates. The implications of the results for developing interventions to improve memory performance are considered.

Steady Beat and State Anxiety

Daily life in today's society is filled with moments of high state anxiety. State anxiety is the amount of anxiety one is experiencing in the present moment; it is not a personality trait. Many people need simple, cost-effective ways to self-regulate themselves so they can sleep, be more productive, and attend to their activities of daily life. Therefore, the present study questioned whether listening to a steady beat will decrease feelings of state anxiety in healthy subjects. Participants (N=36) between the ages of 20 and 50 volunteered for the study. During this study, experimental anxiety was induced and the Visual Analog Scale served as the measurement tool for both tests. Subjects in the control group sat in silence, while subjects in the experimental group listened to a steady beat of 66 beats per minute. The results of an independent-samples t test indicated significant differences between the groups on the posttest measure, t (34)=2.41, p=.02. Subjects who listened to the steady beat reported less anxiety than subjects who sat in silence. This study suggests that steady beat alone can reduce state anxiety, thus providing a cost-effective and accessible means for self-regulation in the midst of high state anxiety.

Pharmacological studies on the anxiolytic effect of standardized Schisandra lignans extract on restraint-stressed mice

Fruits of Fructus Schisandrae were used as sedatives and hypnotics in traditional Chinese medicine for a long history. In this study, we investigated the effects of schisandra lignans extract (SLE) on anxiety disorder in restraint-stressed mice using light–dark (L–D) test. The influences of restraint stress on the levels of monoamines: noradrenaline (NE), dopamine (DA) and serotonin (5-HT) in cerebral cortex, as well as plasma corticosterone (CORT) were studied in mice. The HPLC fingerprint of SLE was recorded and the percentage composition of Schisandra lignans was determined as 82.63%. In L–D test, it was found out that 18 h of restraint stress significantly decreased the anxiolytic parameters (explorative behaviors, e.g. number of entries, time spent) in light area indicating high state of anxiety in stressed mice. In addition, restraint stress elevated NE, DA, and 5-HT levels in cerebral cortex of anxiety mice. Plasma CORT level was also increased. Oral administration of SLE (100 and 200 mg/kg/day, 8 days) emolliating the level of stress-induced anxiety by significantly increasing the anxiolytic parameters mentioned above. We also observed decreases in cerebral cortex monoamines levels, as well as plasma CORT level in stressed mice. These results suggested that SLE reversed stress-induced anxiety level, changes of cortex monoamine transmitters and plasma CORT. The anxiolytic effects of SLE might be related to its anti-stress activity by modulation of hyperactive HPA axis.

Differential effects of safety behaviour subtypes in social anxiety disorder

Clinical observations indicate that individuals with Social Anxiety Disorder (SAD) use a variety of safety behaviours; however, virtually no research has examined the functional effect of different safety-seeking strategies. Accordingly, we conducted two studies to address this issue. Study 1 measured global patterns of safety behaviour use in a large analogue sample. Factor analysis revealed two primary safety behaviour categories, avoidance and impression management. Study 2 assessed situational use of safety behaviours during a controlled social interaction in a clinical sample of 93 patients with Generalised SAD. Factor analysis again revealed support for avoidance and impression-management subtypes. Notably, the two types of safety behaviours were associated with different social outcomes. Avoidance safety behaviours were associated with higher state anxiety during the interaction and negative reactions from participants’ interaction partners. Impression-management strategies appeared to impede corrections in negative predictions about subsequent interactions. These findings suggest that it may be beneficial to consider the unique effects of different safety-seeking strategies when assessing and treating SAD.

Physiological and psychological impacts on male medical interns during on-call duty

This study aimed to explore the physiological and psychological impacts on male medical interns during on-call duty (OCD). A prospective study of 13 medical interns was carried out using repeated testing during an on-call internal medicine and a duty-free course. There are 10 OCDs per month and each duty is composed of 33.5 consecutive work hours followed by 2 duty-free days for a time period of 3 months. Spectral analysis of R–R intervals was performed to evaluate the participants' heart rate variability. Among the three main spectral components distinguished, a high-frequency (HF) component of 0.15–0.4 Hz and a low-frequency component (LF) of 0.04–0.15 Hz were analyzed. The ratio of LF and HF (LF/HF) was also calculated. Reduced LF/HF, which suggests reduced cardiac sympathetic modulation, was found during duty night work. Increased HF was identified during the first sleep after OCD, which corresponded to the sleepiness scales. The OCD causes temporary emotional influence by the findings of higher anxiety and depression scores. In addition, inattention and impulsiveness, as represented by the continuous performance test score and lower nocturnal sympathetic modulation, were found, which indicated the differences between the internal medicine course and duty-free course. Our study suggests that 10 stressful on-call duties monthly result in reduced sympathetic modulation during duty night work, high anxiety and depression state, and a persistent inattention.

Anxiety, movement kinematics, and visual attention in elite-level performers.

We tested the predictions of Attentional Control Theory (ACT) by examining the effect of anxiety on attention control and the subsequent influence on both performance effectiveness and performance efficiency within a perceptual-motor context. A sample (N = 16) of elite shotgun shooters was tested under counterbalanced low (practice) and high (competition) anxiety conditions. A head-mounted, corneal reflection system allowed point of gaze to be calculated in relation to the scene, while motion of the gun was evaluated using markers placed on the barrel which were captured by two stationary cameras and analyzed using optical tracking software. The quiet eye (QE) duration and onset were analyzed along with gun barrel displacement and variability; performance outcome scores (successful vs. unsuccessful) were also recorded. QE (Vickers, 1996) is defined as the final fixation or tracking gaze that is located on a specific location/object in the visual display for a minimum of 100 ms. Longer QE durations have been linked to successful performance in previous research involving aiming tasks. Participants demonstrated shorter quiet eye durations, and less efficient gun motion, along with a decreased performance outcome (fewer successful trials) under high compared with low anxiety conditions. The data support the predictions of ACT with anxiety disrupting control processes such that goal-directed attention was compromised, leading to a significant impairment in performance effectiveness.

3D‐based analyses of pharmacological modulation of zebrafish locomotion

Here, we integrated manual observations, computerized event‐based scoring and automated video analysis of zebrafish traces to generate three‐dimensional (3D) swim path reconstruction of general behavioral patterns, thereby improving the characterization and interpretation of complex, anxiety‐related adult zebrafish behavior. Drugs known to evoke a high‐anxiety state (caffeine, repeated morphine withdrawal) or an anxiolytic‐like effect (ethanol, morphine, fluoxetine, nicotine) wereused to detect multiple anxiety‐like behaviors and correlate them to those established manual observations. Additionally, we used this method to characterize the effects of lysergic acid diethylamide and 3,4‐methylenedioxymethamphetamine on zebrafish novelty‐evoked exploration. Our approach markedly enhances the power of zebrafish behavioral pharmacology, by providing innovative techniques for high‐throughput, multidimensional neurophenotyping of adult zebrafish behavior.

A randomised controlled trial of the effect of music therapy and verbal relaxation on chemotherapy‐induced anxiety

To determine the effect of music therapy and verbal relaxation on state anxiety and anxiety-induced physiological manifestations among patients with cancer before and after chemotherapy. Cancer and its treatment provoke a series of changes in the emotional sphere of the patient's anxiety. Music therapy and verbal relaxation had reported the anxiety reduction effect on patients with cancer receiving chemotherapy. Few studies have been undertaken comparing music therapy and verbal relaxation in differentiating high-normal state anxiety subsample. A randomised controlled trial and permuted block design were used. Outpatient chemotherapy clinic operated by a University medical centre in southern Taiwan. Ninety-eight patients were randomised into three groups: the music therapy group received one-hour single music session; the verbal relaxation group received 30 minutes of guided relaxation; the control group received usual care. Spielberger State-Trait Anxiety Instrument, Emotional Visual Analog Scale, three biobehavioural indicators: skin temperature, heart rate and consciousness level were measured during and after chemotherapy. Music therapy had a greater positive effect on postchemotherapy anxiety than verbal relaxation and control groups and a significantly increase in skin temperature. Patients with high state anxiety receiving music therapy had a greater drop in postchemotherapy anxiety than did the normal state anxiety subsample. Both music and verbal relaxation therapy are effective in reducing chemotherapy-induced anxiety. Thirty minutes of intervention initiates anxiety reduction. Patients with high state anxiety receiving chemotherapy obtain the most benefit from music or verbal relaxation. Prior to chemotherapy, patients with high state anxiety must be sorted from all patients as they are more responsive to interventions. Oncology nurses can offer music and verbal relaxation as adjuvant interventions to reduce chemotherapy-induced anxiety and enhance the quality of care.

Repression Versus Sensitization in Response to Media Violence as Predictors of Cognitive Avoidance and Vigilance

Repression and sensitization as situational modes of coping with anxiety were examined as predictors of trait measures of cognitive avoidance and vigilance. In this study, 303 undergraduates saw a violent film clip to elicit anxiety. Increases in skin conductance level (SCL) and state anxiety (STA) from baseline were measured to identify repressors (high SCL, low STA) and contrast them with sensitizers (low SCL, high STA) and genuinely low anxious individuals (low SCL, low STA). State anger was also recorded. Trait measures of vigilance and cognitive avoidance were collected 2 weeks earlier. Significant SCL × STA interactions indicated that repressors scored higher on cognitive avoidance and lower on vigilance compared to sensitizers and low anxious participants. Repressors were less likely than sensitizers to report gaze avoidance during the clip. The anger by SCL interaction was nonsignificant, suggesting that repressors and sensitizers differ specifically in the processing of anxiety rather than negative affect in general.

Gender-specific psychosocial outcome for women with epilepsy

The objective of the study described here was to compare gender-specific differences of the personal impact of juvenile myoclonic epilepsy (JME) and temporal lobe epilepsy (TLE). We interviewed consecutive men and women with JME or TLE attending a tertiary epilepsy center to characterize their clinical and psychological profiles and details of employment and marriage. We recruited 150 persons with JME (74 males) and 150 with TLE (80 males). There were no gender-specific differences between men and women with respect to age at onset or semiology or frequency of seizures. Antiepileptic drug usage was comparable for both sexes except that fewer women with JME were prescribed valproate. Comorbidities, lower employment, and higher anxiety state were more frequent for women with epilepsy than for men with epilepsy. Females had more difficulty finding life partners compared with males. Women with epilepsy were at increased risk of divorce. Women with epilepsy have more problems with, marriage, mood, and employment as compared with men, even when the clinical profiles of their epilepsy syndromes are comparable.

Smelling Chemosensory Signals of Males in Anxious Versus Nonanxious Condition Increases State Anxiety of Female Subjects

The hypothesis of this experiment was that humans in an anxious state compared with a nonanxious state are able to increase anxiety levels in other humans via their body odors. Specifically, we hypothesized that male chemosensory anxiety signals compared with neutral chemosignals increase state anxiety of female subjects. Thirteen male subjects participated in 2 different sweat donation sessions: chemosignals were collected during participation in a high rope course (anxiety condition) and in an ergometer workout (neutral condition). State and trait anxiety were evaluated in 20 female odor recipients using Spielberger's state-trait anxiety inventory in a double-blind design. Comparison of state anxiety of odor donors between control and anxiety condition differed significantly indicating that our model of anxiety induction successfully led to the expected change in emotion. Comparison of state anxiety of odor recipients showed a trend toward higher state anxiety in the anxiety condition compared with the neutral condition after 5 min of odor exposure. After 20 min of odor exposure, state anxiety of female subjects was significantly higher during the perception of sweat collected during the anxiety condition in comparison with the perception of sweat collected during the neutral condition. This experiment gives evidence that male anxiety chemosignals compared with neutral chemosignals are capable of inducing an increased state anxiety in female subjects.

Prevalence of anxiety in patients awaiting diagnostic procedures in an oncology center in Brazil

Anxiety disorders have been shown to undermine the quality of life of cancer patients. Unfortunately, medical professionals often neglect to screen for anxiety in their patients. The aim of the present study was to describe the prevalence of anxiety in patients awaiting diagnostic procedures in an oncology center waiting room, and to investigate possible relationships between anxiety and demographic and clinical variables. A cross-sectional study was performed with 398 patients who completed a self-administered questionnaire containing the Hospital Anxiety and Depression Scale (HADS) and the State-Trait Anxiety Inventory (STAI). Results of the HADS indicated that 38% of participants had anxiety, while data from the STAI showed that 46% had either high state or trait anxiety. The most frequently cited source of anxiety was concern over test results. Age, gender, employment status, and education level were correlated with anxiety. The prevalence of anxiety is high among patients awaiting diagnostic procedures. Patients in the waiting room should be routinely screened for anxiety. Careful assessment and treatment of anxiety are important components in the care of patients with cancer.

Predicting Functional Outcome for Children on Admission After Burn Injury: Do Parents Hold the Key?

In this study, a predictive model about recovery postburn was developed for purposive case selection using explanatory case methodology. Seven cases (each comprising a child, caregiver, and teacher) participated. Children were aged 6 to 13 years with between 2% and 35% TBSA burned. Caregivers completed assessments of premorbid family and child-adaptive functioning, and family, parental, and child functioning during acute and postacute treatment periods. Teachers completed assessment of premorbid and postacute child-adaptive functioning. Children and their respective caregivers were interviewed to obtain further insights into outcomes. Assessments and interviews were completed before skin healing, on skin healing, and at 6 months postburn injury. Descriptive analysis of the quantitative data and content analysis of qualitative data was undertaken for individual cases and across all cases. In keeping with the explanatory case methodology, replication logic was applied to each case to determine the extent to which theoretical propositions based on the predictive model were supported. Findings suggest that children whose parents had high state anxiety in combination with ineffective coping strategies seemed most at risk of a nonadaptive outcome after a burn injury. There was little support for the rival explanations that child and family functioning or injury severity most consistently predicted outcome postburn injury.

The influence of anxiety on action-specific perception

Recent empirical research suggests that performance modulates perception. For example, baseball players judge the ball to be bigger when performing well as compared to when performing less successfully. Yet, the underlying processes that mediate the emergence of action-specific effects on perception are still largely unknown. To this end, we aimed to examine the impact of anxiety on the action-specific influence on perception as anxiety has been shown to affect both performance and perception. Thirty participants threw darts at a circle-shaped target and were then asked to judge the size of the target. The task was performed under conditions of low and high anxiety. Results replicated previously reported action-specific effects on perception under levels of low anxiety. However, these effects vanished in the high anxiety condition. Results seem to suggest that anxiety has a direct influence on the relation between performance and perception. Attentional control theory is discussed to explain the current findings.

Prevalence of trait and state anxiety prior a surgery

BackgroundIt is well known that an operation is undoubtedly a sig-nificant factor of anxiety symptoms development [1].Aim of the study is to investigate the associationbetween the trait and the state anxiety in patients priora surgery, as well as the association of these psychologi-cal features with the ASA classification of the patientphysical status, the age and the gender.Materials and methodsOne hundred and fifty two patients (99 males and 53females), with ASA I-III and mean age 42.10 ± 16.01years, who were undergoing an operation included inthe study. All participants filled out the SpielbergerState-Trait Anxiety Inventory (STAI) [2,3] 12 - 15 hoursbefore the operation. The inventory differentiates thestate anxiety from the personality’s trait anxiety.ResultsMeans of state and trait anxiety were 42.55 ± 11.30 and38.33 ± 8.01, respectively, with significant difference(t-test, p 0.05). However,patients with ASA III presented significant higher stateanxiety scores compared to patients with ASA I andASA II (Anova test p < 0.05).ConclusionsOur findings suggest that younger patients, females andpatients with ASA III are more vulnerable to anxiety.Therefore, these factors should be taken into accountfor the preoperative assessment in order to develop sup-portive psychological interventions.